State | Minimum Postgraduate Training Required | Number of attempts at Licensing Examination | Time Limit for Completing Licensing Examination Sequence |
| Alabama | 1 year; 3 years IMG | 3+ attempts at USMLE Step 3; 10 attempts at all USMLE Steps; No limit on COMLEX | 7 years to successfully complete all USMLE Steps; No limit on COMLEX |
| Alaska | 2 years; 3 years IMG | 2 attempts per USMLE Step; 2 attempts per COMLEX Level | 7 years to complete USMLE; 10 years for MD/PhD candidates; 7 years to complete COMLEX |
| Arizona Medical | 1 year; 3 years IMG | No limit on USMLE | 7 years to complete USMLE if initial licensure / No limit if already licensed |
| Arizona Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| Arkansas | 1 year; 3 years IMG unless currently enrolled in training program through Univ of Arkansas for Medical Sciences | 3 attempts per USMLE Step; No limit on COMLEX | 7 years to complete USMLE; 10 years for MD/PhD candidates; No limit on COMLEX |
| California Medical | 1 year; 2 years IMG | 4 attempts at USMLE Step 3 | Passing scores on a written/computerized exam shall be valid for a period of ten (10) years from the month of the examination |
| California Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| Colorado | 1 year; 3 years IMG | No limit on USMLE; No information available on COMLEX | 7 years from first sitting to complete USMLE or COMLEX; 10 years for MD/PhD or DO/PhD candidates |
| Connecticut | 2 years | No limit on USMLE; No limit on COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Delaware | 1 year; 3 years IMG | No information at this time | No information at this time |
| Washington, DC | 1 year; 3 years IMG | 3 attempts at USMLE Step 3; after which one additional year of postgraduate training is required. No limit on COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Florida Medical | 1 year; 2 years IMG | No limit on USMLE | No limit on USMLE |
| Florida Osteopathic | 1 year in an AOA-approved program | No limit on COMLEX | No limit on COMLEX |
| Georgia | 1 year; 3 years IMG | 3 attempts per USMLE Step; No limit on COMLEX | 7 years to complete USMLE; 9 years to complete USMLE if in MD/PhD program; No limit on COMLEX |
| Guam | 1 year; Applicants must complete 36 months progressive approved training in US program | No information at this time | No information at this time |
| Hawaii | 1 year; 2 years IMG | No limit on USMLE or COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Idaho | 1 year; 3 years IMG | 2 attempts per USMLE Step; No limit on COMLEX | 7 years to complete USMLE (10 years for MD/PhD candidates); No limit on COMLEX |
| Illinois | 2 years | 5 attempts at all USMLE Steps combined; 5 attempts at COMLEX Levels combined | 7 years to complete USMLE; No limit on COMLEX |
| Indiana | 1 year; 2 years IMG | 3 attempts per USMLE Step; 5 attempts per COMLEX Level | 10 years to complete USMLE; 7 years to complete COMLEX |
| 1 year; 2 years IMG | 6 attempts at both USMLE Step 1 and 2; 3 attempts at USMLE Step 3; 6 attempts at both COMLEX Levels 1 and 2; 3 attempts at COMLEX Level 3. Three years of approved postgraduate training required if outside the attempt limit | 10 years to complete USMLE or COMLEX; 10 years for MD/PhD or DO/PhD candidates. Note: Board certification by ABMS or AOA is required if the applicant has not met the specified time period | |
| Kansas | 1 year; 3 years IMG (minimum 2 years must have been in US program) | 3+ attempts at USMLE Step 3 or COMLEX Level 3 | 10 years to complete USMLE or COMLEX |
| Kentucky | 2 years | 4 attempts per USMLE Step; 4 attempts per COMLEX Level | No limit on USMLE or COMLEX |
| Louisiana | 1 year; 3 years IMG | No limit at USMLE Step 1 or COMLEX Level 1; 4 attempts each at USMLE Steps 2 and 3 or COMLEX Levels 2 and 3 | 10 years to complete USMLE or COMLEX |
| US/Canadian medical school graduates who graduated after 7/1/04 must complete 3 years of postgraduate training. (Those who graduated before 7/1/04 are only required to complete 2 years of PGT); IMGs 3 years | 3+ attempts at USMLE Step 3. More than 3 attempts require a request for a waiver | 7 years to complete USMLE. More than 7 years requires a request for a waiver | |
| Maine Osteopathic | 1 year in AOA approved program | No limit on COMLEX | No limit on COMLEX |
| Maryland | 1 year; 2 years IMG | 4 attempts at each USMLE Step or COMLEX Level | 10 years to complete USMLE or COMLEX |
| Massachusetts | 1 year; 2 years IMG | 6 attempts at USMLE Step 3; No limit on COMLEX | 7 years to complete USMLE with exceptions for MD/PhD or DO/PhD candidates; No limit on COMLEX |
| Michigan Medical | 2 years | No limit on USMLE | 5 years to pass USMLE Step 3 |
| Michigan Osteopathic | 1 year in AOA approved program | No limit on COMLEX | No limit on COMLEX |
| Minnesota | 1 year; 2 years IMG | 3 attempts at each USMLE Step; No limit on COMLEX. Effective 04/11/08, 4 attempts allowed if current license in another state and current certification by specialty board of ABMS, AOABPE, RCPSC, CFPC | Beginning 8/1/07 USMLE Step 3 must be passed within five years of Step 2 or before the end of residency training |
| Mississippi | 1 year; 1-3 years IMG | 3 attempts at USMLE Step 3; No limit on COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Missouri | 1 year; 3 years IMG | 3 attempts at USMLE Step 3; 3 attempts on COMLEX | 7 years to complete USMLE (waived for MD/PhD candidates); No limit on COMLEX |
| Montana | 2 years; 3 years IMG | 3 attempts at USMLE Step 3; No limit on COMLEX | 7 years to complete USMLE (exceptions possible for MD/PhD candidates); No limit on COMLEX |
| Nebraska | 1 year; 3 years IMG | 4 attempts+ at each USMLE Step; 4 attempts+ at each COMLEX Level | 10 years to complete USMLE or COMLEX beginning with date 1st Step/Level is passed |
| Nevada | 3 years | Must pass all 3 Steps of USMLE in not more than a total of 9 attempts and must pass Step 3 in not more than a total of 3 attempts | MD must pass all Steps of the exam within 7 years after the date on which the applicant first passes any Step of the exam; PhD must pass all Steps of the exam within 10 years after the date on which the applicant first passes any Step of the exam |
| Nevada Osteopathic | 3 years for full license OR 2 years if resident signs commitment to practice in NV | No limit on COMLEX | DO graduated before 1995 does not require 3 years residency. No limit on COMLEX |
| New Hampshire | 2 years | 3 attempts at each USMLE Step or COMLEX Level | No limit on USMLE or COMLEX |
| New Jersey | US and IMG graduates who graduated after 7/1/03 must complete 2 years of postgraduate training and have signed a contract for a 3rd year in an accredited program. At least 2 of the years must be in the same field. Graduates prior to 7/1/03: 1 year; 3 years IMG | 5 attempts at USMLE Step 3; or COMLEX | 7 years to complete USMLE; or COMLEX |
| New Mexico Medical | 2 years | 6 attempts per USMLE Step | 7 years to complete USMLE; 10 years for MD/PhD candidates |
| New Mexico Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| New York | 1 year; 3 years IMG | No limit on USMLE or COMLEX | No limit on USMLE or COMLEX |
| North Carolina | 1 year; 3 years IMG | 3 attempts per USMLE Step; 3 attempts per COMLEX Level | USMLE Step 3 shall be passed within seven years of the date of passing Step 1 OR within 10 years if the reason for the delay is based on applicant obtaining an MD/PhD degree |
| North Dakota | 1 year; 3 years IMG | 3 attempts at each USMLE Step or COMLEX Level | 7 years to complete USMLE or COMLEX |
| Northern Mariana Islands | No information available at this time | No information available at this time | No information available at this time |
| Ohio | 1 year; 2 years IMG | Four attempt limit on each Step or Level on USMLE or COMLEX | Ten years to complete USMLE or COMLEX (possible waiver good cause if over ten years) |
| Oklahoma Medical | 1 year; 2 years IMG | 3 attempts at each USMLE Step (Step 2 = CK & CS) | 10 years to complete USMLE |
| Oklahoma Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| 1 year; 3 years IMG | 3 attempts + 1 year postgraduate training at USMLE Step 3; 3 attempts + 1 year postgraduate training at COMLEX Level 3 (waiver of 1 year postgraduate training + 4th attempt if ABMS/AOA certified) | 7 years to complete USMLE or COMLEX (possible waiver for dual degree candidates; individuals with personal illness; current certification by ABMS or AOA; or completion of postgraduate training equivalent to number of years to a dual degree program) | |
| Pennsylvania Medical | 2 years; 3 years IMG | No limit | No limit |
| Pennsylvania Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| Puerto Rico | 1 year | No limit on USMLE | USMLE Step 3 shall be passed within 7 years of the date of passing Step 1 |
| Rhode Island | 2 years; 3 years IMG | 3 attempts at each USMLE Step; 3 attempts at each COMLEX Level | 7 years to complete USMLE; No information available on COMLEX |
| American Samoa | No information available at this time | No information available at this time | No information available at this time |
| South Carolina | 1 year; 3 years IMG | 4 attempts per USMLE Step and COMLEX Level | 10 years to complete USMLE or COMLEX |
| South Dakota | Successful completion of residency program | 3 attempts per USMLE Step and COMLEX Level | 7 years to complete USMLE or COMLEX. 10 years for dual degree MD-PhD applicant |
| Tennessee Medical | 1 year; 3 years IMG | No limit on USMLE | 7 years to complete USMLE unless licensed and in good standing in three other jurisdictions |
| Tennessee Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| Texas | 1 year; 3 years IMG | 3 attempts at each USMLE Step or COMLEX Level. (Exceptions may apply - see TMB website for more information www.tmb.state.tx.us) | 7 years+ to complete the USMLE or COMLEX. (Exceptions may apply - see TMB website for more information www.tmb.state.tx.us) |
| Utah Medical | 2 years | 3 attempts at USMLE Step 3 | 7 years to complete USMLE; 10 years for MD/PhD candidates |
| Utah Osteopathic | 2 years | 3 attempts at each COMLEX Level | 7 years to complete COMLEX; 10 years for DO/PhD candidates |
| Vermont Medical | 1 year; 3 years IMG | 3 attempts at USMLE Step 3 | 7 years to complete USMLE |
| Vermont Osteopathic | Has satisfactorily completed one year's post-graduated training in a rotating internship program approved by the AOA or has satisfactorily completed three years of postgraduate training in an AOA or ACGME-approved residency program (Rule 2.1.2 (3)) | No information available at this time | All three COMLEX examinations Level 1, 2 & 3) must be completed in sequential order within seven years of the successful completion of Level 1/Part 1. (rule 2.1.3) |
| Virgin Islands | 6 months required after 2 attempts for SPEX exam | Must take SPEX (only given in May and November) and an oral exam. 2 attempts | 3 years to pass the 2 attempts allowed re-examinations. 1 year limitation to take the oral exam after passing written |
| Virginia | 1 year; 2 years IMG | No limit on USMLE | 10 years to complete USMLE; Greater than 10 years if candidate is ABMS certified |
| Washington Medical | 2 years | 3 attempts at USMLE Step 3 | 7 years+ to complete USMLE |
| Washington Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| West Virginia Medical | 1 year; 3 years IMG | 3 attempts per USMLE Step | 10 years to complete USMLE |
| West Virginia Osteopathic | 1 year | No limit on COMLEX | No limit on COMLEX |
| Wisconsin | 1 year | 3+ attempts per USMLE Step; N/A on COMLEX | USMLE Step 3 shall be passed within 10 years of the date of passing Step 1; N/A on COMLEX |
| Wyoming | 1 year | Seven total attempts on USMLE or COMLEX | Seven years (eight years if in combined DO or MD/PhD program) |
Requirements of various state medical and osteopathic boards
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